Case reports cover bleeding, liver issues
One case discusses a rare cause of GI bleeding and another describes a patient with hepatic myelopathy.
Two recent case reports in Annals of Internal Medicine: Clinical Cases relate to gastroenterology and hepatology.
One case report, published May 6, discusses a rare cause of GI bleeding in an older man with several comorbidities. A colonoscopy revealed a fragile, vegetative mass in the cecum with an abnormal vessel architecture, diagnosed as high-grade angiosarcoma. During the initial work-up, another primary cancer, at the pancreatic tail, was discovered incidentally.
The other case, also published May 6, describes a 42-year-old woman with alcohol use disorder, chronic hepatitis C, and multiple admissions for hepatic encephalopathy who presented to the hospital for gradually progressive gait abnormalities, slowed speech, and episodes of confusion. Rapid response to treatment with lactulose made hepatic myelopathy the most likely diagnosis.